Mira Operations · Built for orthopedics

Orthopedic Fax Automation: AI Fax Intake and Referral Routing

How orthopedic practices automate inbound fax: every referral, MRI report, surgical clearance letter, workers' comp form, and prior auth read on arrival, recognized by type, routed to the right person, and assembled into packets with Mira Operations.

Every fax
Read as it lands
Once
Patients enter info
Real-time
Eligibility checks
BAA
Included

Updated

Orthopedic fax automation means every inbound fax is read the moment it lands, recognized for what it is, matched to the provider and patient it concerns, titled, and routed to the right queue or person. Mira Operations does this for orthopedic practices. Referrals, imaging reports, surgical clearance letters, workers’ comp paperwork, records requests, and prior auths arrive sorted by type and assembled into packets, and forms to complete get filled from the record. Staff review sorted work instead of opening a fax queue page by page.

Why fax is still the front door of an orthopedic practice

Most of an orthopedic practice’s new patients arrive on paper someone else sent. A primary care office faxes a referral with an MRI report attached. An urgent care sends a note and X-ray read. A workers’ comp adjuster sends an authorization and a form. A hospital sends records you requested two weeks ago.

None of it arrives sorted. A typical inbound queue mixes:

  1. Referrals from PCPs, urgent cares, and other specialists, often with clinical notes and imaging reports attached.
  2. Imaging reports for MRI, CT, and X-ray, plus notices that an imaging CD is on its way.
  3. Records your office requested, and requests for records from other offices and attorneys.
  4. Prior authorization responses, requests for more documentation, and approvals.
  5. Signature requests, including physical therapy plans of care waiting on the surgeon.
  6. Surgical clearance letters from PCPs and cardiologists ahead of a scheduled case.
  7. Workers’ comp paperwork from adjusters and employers.
  8. Billing, pharmacy, and scheduling paperwork.
  9. Forms to complete: adjuster forms, FMLA certifications, return-to-work forms.

Someone opens each one, decides what it is, finds the patient, renames the file, and drops it in the right place. A referral that sits unread is a patient who books elsewhere. A plan of care that waits a week for a signature is therapy that stalls.

How AI fax intake works in Mira Operations

Mira Operations handles that stream the same way it handles patient intake.

Read on arrival. Every fax is read as it lands, including scanned and crooked pages. Nobody has to open it first.

Recognized by type. Mira sorts each fax into referrals, records requests, signature requests (including PT plans of care), surgical clearance letters, workers’ comp paperwork, prior authorization, billing, lab and imaging reports, pharmacy, and scheduling.

Matched and titled. Each fax is matched to the provider and patient it concerns, then titled so the name tells staff what is inside.

Routed and assembled. Each document goes to the right queue or person, and related pages (a referral, its office note, and its MRI read) are assembled into one packet.

Forms filled from the record. When a fax is a form to complete, Mira fills it the way it fills disability paperwork: from the chart, the patient’s intake answers, and every form the patient has already provided. Anything the record does not clearly state is flagged rather than guessed. Staff review and sign. Completed form filling is $5 per form, billed only on use.

Ortho scenarios: what changes on a normal Tuesday

A PCP referral with an MRI report. A knee referral arrives with the office note and the MRI read. Mira recognizes it as a referral, matches it to the patient and provider, assembles the referral packet, and routes it to scheduling, so the scheduler calls the patient from a sorted list instead of finding the fax hours later.

A workers’ comp form from an adjuster. The adjuster’s form lands. Mira matches the patient, fills the demographics, injury date, and visit details the record already holds, and flags the work-restriction fields that need the surgeon’s judgment. Staff review, the surgeon signs, and it goes back.

A PT plan of care. Therapy faxes a plan of care that needs the surgeon’s signature. It is recognized as a signature request and matched to the patient and surgeon, so it gets signed instead of buried.

A records request. An attorney or another practice asks for records. The request is recognized as a records request and matched to the patient, so the person who handles release of information finds it sorted rather than buried in the general queue.

Prior auth paperwork. A payer asks for more documentation. The request is recognized as prior authorization and matched to the right patient, so the team working the auth sees it the same day.

Surgical clearance. A cardiology clearance letter arrives the week before a total knee. Mira recognizes it as a clearance letter, matches it to the patient and case, and routes it to the surgical coordinator.

Imaging reports. An MRI read arrives and is matched to the right patient before the follow-up visit.

Manual fax handling vs Mira Operations

StepManual fax queueMira Operations
Opening each faxStaff open every pageRead automatically on arrival
Deciding what it isStaff judgment, page by pageRecognized and titled
Finding the patientSearch the EHR by handMatched to the patient it concerns
Getting it to the right placeForward, print, or re-fileRouted to the right queue or person and assembled into packets
Forms to completeRetyped from the chartFilled from the record, flagged gaps, staff sign
Patient data reuseEach document stands aloneSame record as intake, so every fill gets easier

Fax referral routing is better with intake in the same platform

Fax automation works best when it shares a record with patient intake. Mira Operations is one product: the same patient record built by intake (Mira Passport, insurance card capture, real-time eligibility) is the record used to match incoming faxes and fill incoming forms. A workers’ comp form is easier to fill when the patient already gave you their employer, injury date, and claim number at check-in.

Mira Operations is part of Mira, the AI operating system for orthopedic practices. The same platform runs Concierge (the voice agent that answers patient calls), Scribe, and RCM, so the fax that starts a referral connects to the call, the visit, and the claim.

Healthcare fax automation and HIPAA

Inbound faxes are full of protected health information, so the software that reads them has to be covered. Every Mira account includes a signed Business Associate Agreement. Patient data is encrypted, staff access to records is logged, and the AI features run on models that do not train on patient data. Mira integrates natively with Epic, athenahealth, ModMed, eClinicalWorks, NextGen, and DrChrono, the EHRs private practices use most, and builds new EHR integrations in one to four weeks.

Getting started

Most practices start by pointing a slice of inbound fax at Mira and comparing the sorted output against what staff would have done. Book a demo with the fax types you see most, and we will show you how each one gets recognized, filed, and, where it is a form, filled. No long term lock in is required to start.

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Frequently asked questions

01What is orthopedic fax automation?
Orthopedic fax automation is software that reads every inbound fax as it arrives, recognizes what the document is (a referral, an imaging report, a surgical clearance letter, workers' comp paperwork, a records request, a prior authorization), identifies which practice, provider, and patient it concerns, titles it, and routes it to the right queue or person. Staff review sorted, titled documents instead of opening a shared fax queue page by page.
02Can AI fax intake route referrals to the right practice?
Yes. Mira Operations reads each inbound fax, recognizes it as a referral, matches it to the provider and patient it concerns, routes it to the right queue or person, and assembles related documents into a referral packet. Your team starts from a sorted, titled list rather than an unread stack.
03Does Mira fill out forms that arrive by fax?
Yes. When a fax is a form to complete, such as a workers' comp form, an FMLA certification, or a disability claim, Mira fills it from the chart, the patient's intake answers, and every form the patient has already given the practice. Anything the record does not clearly answer is flagged for staff. Your team reviews and signs before anything goes out. Form filling is $5 per completed form.
04Is Mira's fax automation HIPAA compliant?
Mira is built for HIPAA and every account includes a signed Business Associate Agreement. Patient data is encrypted, staff access to records is logged, and the AI features run on models that do not train on patient data.
05Does fax automation replace my EHR's document inbox?
No. It sits in front of it. Mira does the reading, sorting, and matching, and documents land in your EHR and workflows. Mira integrates natively with Epic, athenahealth, ModMed, eClinicalWorks, NextGen, and DrChrono, the EHRs private practices use most, and builds new EHR integrations in one to four weeks.
06How is this different from intake forms?
Intake forms collect what the patient tells you. Fax automation handles what everyone else sends you: referring offices, imaging centers, payers, employers, and attorneys. Mira Operations covers both, so the patient record your intake builds is the same record used to match and fill incoming faxes.

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